EPISPADIAS.REPORT OF A CASE OPERATED ON BY A MODIFICATION OF CANTWELL'S METHOD.

Abstract

The purpose of this paper is to again call attention very briefly to an almost ideal operation for the relatively rare but distressing deformity, epispadias; and, further, to describe a modification of the original operation which the writer found it necessary to make in the single case on which he had the opportunity of operating. This operation, described by Cantwell¹in 1895, performed by Herbert Page,²in 1898, and again by Parham and Martin²in 1900, seems not to have gained the recognition it deserves, and not to have found its way into the recent text-books of surgery. Bryant voices the sentiment of practically all the textbook writers when he says: "The ability to secure as satisfactory results in this deformity as have been secured in hypospadias has not yet been attained." The procedures usually recommended are similar to the plastic operations applicable to the condition of